The clinical results of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy in consecutive 55 cases.
Pancreas
; 35(3): 273-5, 2007 Oct.
Article
in En
| MEDLINE
| ID: mdl-17895850
ABSTRACT
OBJECTIVES:
Pancreatic anastomotic leakage remains a major troublesome complication after pancreaticoduodenectomy. Thus, various technical modifications regarding the pancreatic anastomosis after pancreaticoduodenectomy have been attempted to minimize anastomotic leakage. We have performed duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa (layer-to-layer pancreaticojejunostomy) and obtained extremely favorable results.METHODS:
During 1999 to 2006, 55 patients (27 women and 28 men) underwent duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa after pancreaticoduodenectomy. The mean age was 64.6 years (range, 33-84 years).RESULTS:
Median postoperative hospital stay was 32.8 days. Morbidity rate due to early postoperative complication was 9.1% (pneumothorax in 1, pulmonary embolism in 1, gastric ulcer in 1, and wound infection in 2), with no pancreatic anastomotic leakage.CONCLUSIONS:
There was low complication rate and no pancreatic anastomotic leakage in consecutive 55 patients who underwent pancreaticoduodenectomy. We consider that duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa is extremely safe, reliable, and favorable for the anastomosis after pancreaticoduodenectomy.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreaticojejunostomy
/
Pancreaticoduodenectomy
Type of study:
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Pancreas
Journal subject:
GASTROENTEROLOGIA
Year:
2007
Document type:
Article
Affiliation country:
Japan